James Francis Deitle, PA-C

NPI #1003000753 in Portland, Oregon

Provider Information

NPI Number: 1003000753
Entity Type: Individual
Name: James Francis Deitle, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 5, 2007
Last Updated: Jan 22, 2011

Practice Location

Address: 501 N GRAHAM ST
Address 2: SUITE #580
City: Portland
State: Oregon
ZIP Code: 97227-1654
Phone: (503) 528-0704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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